Chaldean Community Foundation

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CHALDEAN COMMUNITY FOUNDATION

Practice address

3601 15 Mile Rd
Sterling Heights, MI 48310-5356

Phone

(586) 722-7253

Fax

(586) 722-7257

NPI assigned

Apr 9, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Paul Jonna

Title

Chief Operating Officer

Phone

(586) 722-7253

Specialties & licenses 1

Addresses

Other names 1

• Chaldean Community Foundation Former legal business name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline Marie Raxter, M.A.,L.M.S.W.,L.P.C.

  • Clinical Social Worker
  • Detroit, MI
  • NPI 1134345176
  Medicare reassignment
• Mariam Abdalla

  • Social Worker
  • Sterling Heights, MI
  • NPI 1619696051
  NPD
• Iva N Malyne

  • Clinical Social Worker
  • Sterling Heights, MI
  • NPI 1306404074
  NPD
• Souzan Vanlerberg

  • Mental Health Counselor
  • Sterling Heights, MI
  • NPI 1265288914
  NPD
• Ban Yousif

  • Clinical Social Worker
  • Sterling Heights, MI
  • NPI 1760040430
  NPD
• Joanne Mesleh, MSW

  • Social Worker
  • Sterling Heights, MI
  • NPI 1245761477
  NPD (past)
• Randi Jamal Sulaiman, LLMSW

  • Social Worker
  • Sterling Heights, MI
  • NPI 1083553366
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611187200000",
    "number": "1669935557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 15 MILE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105356",
            "telephone_number": "586-722-7253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 15 MILE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105356",
            "telephone_number": "586-722-7253",
            "fax_number": "586-722-7257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHALDEAN COMMUNITY FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-09",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A",
        "authorized_official_last_name": "JONNA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "586-722-7253"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "paul.jonna@chaldeanfoundation.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "Website",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3601 15 Mile Rd",
            "city": "Sterling Heights",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483105356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Chaldean Community Foundation",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Yerenia Cedeno-Rodriguez, FNP
• Elona Ceta
• Rupinder Chahal, DO
• Teresa M Chahine, RN, MSN, PMHNP-BC
• Nichole Chakur, DPT
• Emily Chamberlain, M.A
• Latisha Chamble
• Joanne N. Chami, M.D.
• Nichole Champagne, M.S.
• Nicholas Thomas Chance

• Community/Behavioral Health Agency in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.